Softclaim™ -Honolulu, Hawaii 96814, United States

Medical Insurance Claim App

CMS-1500 - ADA™ DENTAL -
UB-04 (CMS-1450)

PC Workstation - Tablet - Mobile - Cloud - Web

CMS-1500

CMS-1500 CLAIM FORM

 The 1500 Health Insurance Claim Form (1500 Claim Form) answers the needs of many health care payers. It is the basic paper claim form prescribed by many payers for claims submitted by physicians, other providers, and suppliers, and in some cases, for ambulance services. 

Dental ADA™

ADA DENTAL CLAIM FORM

The ADA™ Dental Claim Form provides a common format for reporting dental services to a patient's dental benefit plan. ADA™ policy promotes use and acceptance of the most current version of the ADA Dental Claim Form by dentists and payers. ™

UB-04 (CMS-1450)

UB-04 CMS-1450 CLAIM FORM

 This form, also known as the UB-04, is a uniform institutional provider bill suitable for use in billing multiple third party payers. Because it serves many payers, a particular payer may not need some data elements. The National Uniform Billing Committee (NUBC) maintains lists of approved coding for the form.